ESSENTIAL MATH and CALCULATIONS for PHARMACY TECHNICIANS
CRC PRESS
PHARMACY EDUCATION SERIES
Pharmacoethics: A Prob...
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ESSENTIAL MATH and CALCULATIONS for PHARMACY TECHNICIANS
CRC PRESS
PHARMACY EDUCATION SERIES
Pharmacoethics: A Problem-Based Approach David A. Gettman and Dean Arneson
Pharmaceutical Care: Insights from Community Pharmacists William N. Tindall and Marsha K. Millonig
Essentials of Law and Ethics for Pharmacy Technicians Kenneth M. Strandberg
Essentials of Pharmacy Law Douglas J. Pisano
Essentials of Pathophysiology for Pharmacy Martin M. Zdanowicz
Pharmac y: What It Is and How It Works William N. Kelly
Pharmacokinetic Principles of Dosing Adjustments: Understanding the Basics Ronald Schoenwald
Strauss’s Federal Drug Laws and Examination Review, Fifth Edition Steven Strauss
Pharmaceutical and Clinical Calculations, Second Edition Mansoor Khan and Indra Reddy
Inside Pharmacy: Anatomy of a Profession Ray Gosselin, Jack Robbins, and Joseph Cupolo
Understanding Medical Terms: A Guide for Pharmacy Practice, Second Edition Mary Stanaszek, Walter Stanaszek, and Robert Holt
Pharmacokinetic Analysis: A Practical Approach Peter Lee and Gordon Amidon
Guidebook for Patient Counseling Harvey Rappaport, Tracey Hunter, Joseph Roy, and Kelly Straker
ESSENTIAL MATH and CALCULATIONS for PHARMACY TECHNICIANS INDRA K. REDDY MANSOOR A. KHAN
CRC PR E S S Boca Raton London New York Washington, D.C.
This edition published in the Taylor & Francis e-Library, 2005. “To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.”
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CHENAL PHARMACY
Dr. John Doe
169 Hillside Avenue
4301 E Markham St, Little Rock, AR 76543
Little Rock, AR 71206
Phone No. 501-555-1000 Name: Brittany Taylor
Age: 72
Address: 95 Chenal Blvd, Hope
Date: 5/28/03
Ρχ # 123456
555-0342
Date: 5/28/03
Taylor, Brittany 95 Chenal Blvd.
Ρχ Darvocet-N 100
Take one tablet twice daily, as needed for
#30
pain.
Sig: bid, prn pain.
Darvocet-N 100 tablets, #30 John Doe, M.D. Refills none DAW __√___
Dr. John Doe __________________________ DEA #AI7973142
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$GPLQLVWUDWLRQVFKHGXOHHJWLPHVSHUGD\PLOOLOLWHUVSHUKRXUDWEHG WLPHHWF 2WKHULQIRUPDWLRQVXFKDVVRPHUHVWULFWLRQVRUVSHFLÀFDWLRQV 3K\VLFLDQ·VVLJQDWXUH 3URYLVLRQIRUWKHSKDUPDFLVW·VRUQXUVHV·QRWHV HILLTON HEALTH CARE HOSPITAL LITTLE ROCK, ARKANSAS PHYSICIAN'S ORDER SHEET
Goldman, Brown
Admit 2/26/96
41-22 Passedena
DOB 7/7/42
Little Rock, AK
Dr. L. Bailey
ID# 87654
Room 107
Please Use Ball Point Pen and Press Firmly. You are making more than one copy ORDERED
PHYSICIAN'S ORDERS
NURSE NOTED
START A NEW SECTION WITH EACH SET OF ORDERS DATE
TIME
2/26
0900
Dynapen 250 mg. PO q6h
2/26
0900
Darvon Compound 65 PO q4h prn pain
2/26
0900
Vibramycin 0.2 g po stat
HOUR
NAME
0940
L. Ito
L. Bailey, M.D.
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TABLE 5.2 Terms Related to Administration Times/Dosage Frequency Abbreviation TGRUTG ELGRUELG WLGRUWLG TLGRUTLG DPRU$0 SPRU30 KV DF SF LF RP RQ SUQ TK TK TK TK TK TK
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Term/Phrase
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Meaning
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TABLE 5.7 Miscellaneous Abbreviations Abbrev.
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EXAMPLE 1 Chris Ferell, M.D. 911 Hollywood Avenue Detroit, MI-71208 Phone No. 555-1234 Name : John Doe Age: 70 Address: 96 Havana Blvd., MI-71208 Date: 2/28/03
Px Flagyl 500 mg
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 Px # 123456 Date: 2/28/03 Doe, John 911 Hollywood Ave Take one tablet three times a day for seven days Metronidazole 500 mg #40 Refill 1 C. Ferell, M.D.
Sig: i tab tid, 7 days REFILL None DAW C. Ferell DEA # AD 7973142
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Identifying Prescription Errors and Omissions
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EXAMPLE 2 Pat Reno 96 Alonzo Drive Miami, FL-71208 Phone No. 555-1234
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 Date: 2/29/01 Px # 123456 Starks, Baby 96 Havana Blvd. Take one-half tablet twice daily for seven days Vantin 100 mg tablets Refill 1 P. Reno
Name : Baby Starks Age: 6 mo. Address: 96 Havana Blvd., FL-71208 Date: 2/29/02
Px Vantin 100 mg Sig: d-ss bid, 7 days REFILL None DAW PReno
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EXAMPLE 3 Doc Rogers, M.D. 12 Progress Drive Amarillo, TX-79106 Phone No. 555-1234 Name : Jackie Bushnell Age: 58 yrs Address: 20 Main Street, Amarillo Date: 7/9/01
Px Fiorinal with Codeine # 40 Sig: ii caps, q4h daily REFILL 1 DAW _ DRogers DEA # DR1234567
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Essential Math and Calculations for Pharmacy Technicians
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PRACTICE PRESCRIPTIONS FOR ERRORS AND OMISSIONS 1.
Howard Huxtable, M.D. 20 Sheldon Street Amarillo, TX-79119 Phone No. 555-1234 Name : John Doe Age: 30 Address: 96 Progress Drive, TX-79119 Date: 2/28/02 Zantac 300 mg
NORTHEAST PHARMACY 822 Coulter Street Amarillo, TX-79106 555-0342 # 123456 Date: 2/28/02 Doe, John 96 Progress Dr. Take one tablet at bed time Ranitidine 300 mg # 40 H. Huxtable, M.D.
Sig: i bid, 15 days REFILL None
DAW
HHuxtable DEA # AD 7973142
2.
Howard Huxtable, M.D. 20 Sheldon Street Amarillo, TX-79119 Phone No. 555-1234 Name : Alice Smith Age: 8 mo. Address: 96 Progress Drive, TX-79119 Date:1/18/02
Amoxil 250 mg/tablet Disp. # 28 Sig: i tab q6h until finished REFILL DAW HHuxtable DEA # AD 7973142
NORTHEAST PHARMACY 822 Coulter Street Amarillo, TX-79106 555-0342 # 123456 Date: 1/18/02 Smith, Alice 96 Progress Dr. Take one tablet every six hours until Friday Amoxicillin 250 mg H. Huxtable, M.D.
Identifying Prescription Errors and Omissions
3.
Howard Huxtable, M.D. 20 Sheldon Street Amarillo, TX-79119 Phone No. 555-1234 Name : Pat O'Neal Age: 23 Address: 96 Progress Drive, TX-79119 Date: 2/28/03 Miacalcin 2 mL
77
NORTHEAST PHARMACY 822 Coulter Street Amarillo, TX-79106 555-0342
# 123456 Date: 2/28/02 O'Neal, Pat 96 Progress Dr. Take one puff by mouth daily Miacalcin H. Huxtable, M.D.
Sig: i spray in the nose daily REFILL DAW HHuxtable DEA # AD 7973142
4.
Howard Huxtable, M.D. 20 Sheldon Street Amarillo, TX-79119 Phone No. 555-1234 Name : Robert Gordon Age: 36 Address: 96 Progress Drive, TX-79119 Date: 2/28/02 Xanax 0.25 #30 Sig: ss tab qd
REFILL DAW HHuxtable DEA # AL5052841
NORTHEAST PHARMACY 822 Coulter Street Amarillo, TX-79106 555-0342
# 123456 Date: 2/28/02 Gordon, Robert 96 Progress Dr. Take one-half tablet daily Zantac 0.25 H. Huxtable, M.D.
78
Essential Math and Calculations for Pharmacy Technicians
5.
Howard Huxtable, M.D. 20 Sheldon Street Amarillo, TX-79119 Phone No. 555-1234 Name : Diana Wu Age: 2 yrs Address: 96 Progress Drive, TX-79119 Date: 1/28/03 Ampicillin 250 mg/tsp f -V
NORTHEAST PHARMACY 822 Coulter Street Amarillo, TX-79106 555-0342 # 123456 Date: 1/28/03 Wu, Diana 96 Progress Dr. Take one tablespoonful three times daily for 10 days Amoxicillin 250 mg/5 mL H. Huxtable, M.D.
Sig: tsptid, 10 days REFILL DAW HHuxtable DEA # AD 7973142
6.
Howard Huxtable, M.D. 20 Sheldon Street Amarillo, TX-79119 Phone No. 555-1234 Name : Jason Boyd Address : 96 Progress Drive, TX-79119
Age: 34 Date : 1/28/03
Bactrim DS #20 Sig: i bid, 7 days
REFILL DAW
HHuxtable DEA # AD 7973142
NORTHEAST PHARMACY 822 Coulter Street Amarillo, TX-79106 555-0342
# 123456 Date: 1/28/03 Boyd, Jason 96 Progress Dr. Take one tablet twice daily for seven days Sulfameth/TMP 400/80 mg # 20 H. Huxtable, M.D.
Identifying Prescription Errors and Omissions
7.
79
Howard Huxtable, M.D. 20 Sheldon Street Amarillo, TX-79119 Phone No. 555-1234 Name : Alicia Bedell Address : 96 Progress Drive, TX-79119
NORTHEAST PHARMACY 822 Coulter Street Amarillo, TX-79106 555-0342
Age: 4 mo. Date : 1/25/03
# 123456 Date: 1/25/03 Bedell, Alicia 96 Progress Dr. Insert one suppository rectally four times daily for fever over 101r APAP Suppositories 2 gr #10 H. Huxtable, M.D.
ASA Suppositories 2 gr #10 Sig: In. rect q4h, prn fever over 101 r
REFILL DAW HHuxtable DEA # AD 7973142
8. Medication profile and a prescription Evelyn Bradley 20 Main Street Monroe, LA 71201 Date 3/1/02 5/6/02 7/7/02
Allergy: Penicillin, Sulfa, Cephalosporins
Dr.
_#
Quinn Quinn Quinn
12340 12350 12369
Patient Drug Evelyn Baycol 0.2 mg #100, 1 daily Evelyn Amaryl 2 mg #60, 1 qd Evelyn Tylenol #3 # 30, ii tid, prn
Doc Rogers, M.D. 12 Desiard Street Amarillo, TX-79119 Phone No. 555-1234 Name : Evelyn Bradley Address : 20 Main Street, Monroe
Age: 18 yrs Date : 7/9/02
Omnicef 300 mg Sig: ibid, 7 days REFILL 1 DAW
DRogers DEA #DR1234567
NORTHEAST PHARMACY 822 Coulter Street Amarillo, TX-79106 555-0342
# 123456 Date: 7/9/02 Bradley, Evelyn 20 Main St Take one tablet twice daily for seven days Omniceff 300 mg # 18 D. Rogers, M.D.
80
Essential Math and Calculations for Pharmacy Technicians
9.
Howard Huxtable, M.D. 20 Sheldon Street Amarillo, TX-79119 Phone No. 555-1234 Name : Elvis Jackson Age: 52 Address : 96 Progress Drive, TX-79119
NORTHEAST PHARMACY 822 Coulter Street Amarillo, TX-79106 555-0342 : 2/28/03
Cortisporin otic solution 10 mL
# 123456 Date: 2/28/03 Jackson, Elvis 96 Progress Dr. Instill six drops in the right eye every four hours Cortisporin otic suspension #100 cc H. Huxtable, M.D.
Sig: iv gtt ad qid REFILL √
DAW
HHuxtable DEA # AD 0510323
10.
Howard Huxtable, M.D. 20 Sheldon Street Amarillo, TX-79119 Phone No. 555-1234 Name : Beverly Sharp Age: 36 Address : 96 Progress Drive, TX-79119 Date : 1/05/03
Cozaar Tablets 50 mg # 100 Sig: i qd REFILL DAW
HHuxtable DEA # AD 0510323
NORTHEAST PHARMACY 822 Coulter Street Amarillo, TX-79106 555-0342 # 123456 Date: 1/05/03 Sharp, Beverly 96 Progress Dr. Cozaar 100 mg #50 H. Huxtable, M.D.
Identifying Prescription Errors and Omissions
11.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : John Doe Age: 30 Address: 96 Havana Blvd., FL 31207 Date: 2/28/02 Zantac 300 mg
81
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 2/28/02 Doe, John 96 Havana Blvd. Take one tablet at bed time Ranitidine 300 mg # 40 H. Huxtable, M.D.
Sig: i bid, 15 days REFILL None
DAW
HHuxtable DEA # AD 7973142
12.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Baby Gore Age: 8 mo. Address: 96 Havana Blvd., FL 31207 Date:1/18/02
V-Cillin K 250 mg/tablet Disp. # 28 Sig: i QID until finished REFILL DAW HHuxtable DEA # AD 7973142
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 1/18/02 Gore, Baby 96 Havana Blvd. Take one tablet every six hours until Friday Pen-VK 250 mg H. Huxtable, M.D.
82
Essential Math and Calculations for Pharmacy Technicians
13.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Pat O'Neal Age: 23 Address: 96 Havana Blvd., FL 31207 Date: 2/28/03 Neosynephrine 2.5% 10 mL
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342
# 123456 Date: 2/28/03 O'Neal, Pat 96 Havana Blvd. Instill one drop in each nostril three times daily Miacalcin H. Huxtable, M.D.
Sig: i gtt os tid REFILL
1
DAW HHuxtable DEA # AD 7973142
14.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Magic Jordan Age: 36 Address: 96 Havana Blvd., FL 31207 Date: 2/28/02 Xanax 0.25 #30 Sig: ss tab qd REFILL DAW HHuxtable DEA # AL5052841
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342
# 123456 Date: 2/28/02 Jordan, Magic 96 Havana Blvd. Take one-half tablet daily Xanax 0.25 H. Huxtable, M.D.
Identifying Prescription Errors and Omissions
15.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Gill Bates Age: 2 yrs Address: 96 Havana Blvd., FL 31207 Date: 1/28/03 Ampicillin 250 mg/tsp f - V
83
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 1/28/03 Khan, Adnan 96 Havana Blvd. Take one tablespoonful three times daily for 10 days Amoxicillin 250 mg/5 mL H. Huxtable, M.D.
Sig: tsptid, 10 days REFILL DAW
HHuxtable DEA# AD 7973142
16.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Robin Williams Age: 34 Address : 96 Havana Blvd., FL 31207 Date : 1/28/03
Septra DS #20 Sig: i bid, 7 days
REFILL DAW
1
HHuxtable DEA # AD 7973142
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342
# 123456 Date: 1/28/03 Williams, Robin 96 Havana Blvd. Take one tablet twice daily for seven days Sulfameth/TMP 400/80 mg # 20 H. Huxtable, M.D.
84
Essential Math and Calculations for Pharmacy Technicians
17.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Mary Green Age: 4 mo. Address : 96 Havana Blvd., FL 31207 Date : 1/25/03 APAP Suppositories 1 gr #10 Sig: In. rect q4h, prn fever over 101r
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 1/25/03 Green, Mary 96 Havana Blvd. Insert one suppository rectally four times daily for fever over 101r ASA Suppositories 2 gr #10 H. Huxtable, M.D.
REFILL DAW HHuxtable DEA # AD7973142
18. Medication profile and a prescription Evelyn Monroe 20 Main Street Monroe, LA 71201 Date
Dr.
Allergy: Penicillin, Sulfa
_#
3/1/02 Quinn 12340 5/6/02 Quinn 12350 7/8/02 Quinn 12369
Patient
Drug
Evelyn Evelyn Evelyn
Synthroid 0.2 mg #100, 1 daily Hygroton 2.5 mg #70, 1 qd Tylenol #3 # 30, ii tid, prn
Doc Rogers, M.D. 12 Desiard Street Monroe, LA-71208 Phone No. 555-1234 Name : Evelyn Monroe Address : 20 Main Street, Monroe
Age: 18 yrs Date : 7/9/02
Fiorinal with Codeine # 40 Sig: iqid, 7 days REFILL 1 DAW
DRogers DEA # DR1234567
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342
# 123456 Date: 7/9/02 Monroe, Evelyn 20 Main St Take one tablet four times daily for seven days Fiorinal with Codeine # 28 D. Rogers, M.D.
Identifying Prescription Errors and Omissions
19.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Elvis Jackson Age: 52 Address : 96 Havana Blvd., FL 31207 Date : 2/28/03 Cortisporin otic solution 10 mL
85
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 2/28/03 Jackson, Elvis 96 Havana Blvd. Instill six drops in the right eye every four hours Cortisporin otic suspension #100 cc H. Huxtable, M.D.
Sig: VI gtt ad qid
REFILL √
DAW
HHuxtable DEA # AD 0510323
20.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Beverly Sharp Age: 36 Address : 96 Havana Blvd., FL 31207 Date : 1/05/03
Tenormin Tablets 50 mg # 100 Sig: i qd REFILL DAW
5X √ HHuxtable DEA # AD 0510323
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 1/05/03 Sharp, Beverly 96 Havana Blvd. Tenormin 100 mg #50 H. Huxtable, M.D.
86
Essential Math and Calculations for Pharmacy Technicians
21.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : John Doe Age: 30 Address: 96 Havana Blvd., FL 31207 Date: 2/28/02 Zantac 300 mg
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 2/28/02 Doe, John 96 Havana Blvd. Take one tablet twice daily for fifteen days Ranitidine 150 mg # 80 H. Huxtable, M.D.
Sig: i bid, 15 days REFILL None
DAW
22.
HHuxtable DEA # AD 7973142
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Baby Gore Age: 8 mo. Address: 96 Havana Blvd., FL 31207 Date:1/18/02
V-Cillin K 250 mg/tablet Disp. # 28 Sig: i QID until finished REFILL DAW HHuxtable DEA # AD 7973142
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 1/18/02 Gore, Baby 61-40 flushing Ave Take one tablet every six hours until Friday Pen-VK 250 mg H. Huxtable, M.D.
Identifying Prescription Errors and Omissions
23.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Pat O'Neal Age: 23 Address: 96 Havana Blvd., FL 31207 Date: 2/28/03 Neosynephrine 2.5% 10 mL
87
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342
# 123456 Date: 2/28/03 O'Neal, Pat 96 Havana Blvd. Instill one drop in each nostril three times daily Neosporine 1.5% H. Huxtable, M.D.
Sig: i gtt os tid REFILL
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DAW HHuxtable DEA # AD 7973142
24.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Magic Jordan Age: 36 Address: 96 Havana Blvd., FL 31207 Date: 2/28/02 Xanax 0.25 #30 Sig: ss tab qd
REFILL DAW HHuxtable DEA #AL5052841
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342
# 123456 Date: 2/28/02 Jordan, Magic 96 Havana Blvd. Take one-half tablet daily Xanax 0.5 H. Huxtable, M.D.
88
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25.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Gill Bates Age: 2 yrs Address: 96 Havana Blvd., FL 31207 Date: 1/28/03 Ampicillin 250 mg/tsp f -V
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 1/28/03 Khan, Adnan 96 Havana Blvd. Take one tablespoonful three times daily for 10 days Amoxicillin 125 mg/5 mL H. Huxtable, M.D.
Sig: tsptid, 10 days REFILL DAW HHuxtable DEA # AD7973142
26.
Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Robin Williams Age: 34 Address : 96 Havana Blvd., FL 31207 Date : 1/28/03
Septra DS #20 Sig: i bid, 7 days
REFILL DAW
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HHuxtable DEA # AD 7973142
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342
# 123456 Date: 1/28/03 Williams, Robin 96 Havana Blvd. Take one tablet twice daily for seven days Sulfameth/TMP 400/80 mg # 40 H. Huxtable, M.D.
Identifying Prescription Errors and Omissions
27.
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Henry Huxtable 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Mary Green Age: 4 mo. Address : 96 Havana Blvd., FL 31207 Date : 1/25/03 APAP Suppositories 1 gr #10
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 1/25/03 Green, Mary 96 Havana Blvd. Insert one suppository rectally four times daily for fever over 101° ASA Suppositories 2 gr #10 H. Huxtable
Sig: In. rect q4h, prn fever over 101°
REFILL DAW HHuxtable
28. Medication profile and a prescription Evelyn Monroe 20 Main Street Monroe, LA 71201 Date 3/1/02 5/6/02
Allergy: Sulfa, Codeine
Dr.
_#
Patient
Drug
Quinn Quinn
12340 12350
Evelyn Evelyn
Synthroid 0.2 mg #100, 1 daily Hygroton 2.5 mg #70, 1 qd
Doc Rogers, M.D. 12 Desiard Street Monroe, LA-71208 Phone No. 555-1234 Name : Evelyn Monroe Address : 20 Main Street, Monroe
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342
Age: 18 yrs : 7/9/02
Fiorinal with Codeine # 40 Sig: iqid, 7 days REFILL 1 DAW
DRogers DEA # DR1234567
# 123456 Date: 7/9/02 Monroe, Evelyn 20 Main St Take one tablet four times daily for seven days Fiorinal with Codeine # 28 D. Rogers, M.D.
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29.
Henry Huxtable 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Elvis Jackson Age: 52 Address : 96 Havana Blvd., FL 31207 Date : 2/28/03 Cortisporin otic solution 10 mL
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 2/28/03 Jackson, Elvis 96 Havana Blvd. Instill six drops in the right eye every four hours Cortisporin otic suspension #100 cc H. Huxtable
Sig: VI gtt ad qid
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Henry Huxtable, M.D. 61-40 Flushing Avenue Monroe, LA 71208 Phone No. 555-1234 Name : Betty Sharp Age: 26 Address : 12 Main St., TX-79106 Date : 1/05/03
Tenormin Tablets 50 mg # 100 Sig: i qd REFILL DAW
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HHuxtable DEA # AD 0510323
NORTHEAST PHARMACY 169 Hillside Avenue Monroe, LA 71206 555-0342 # 123456 Date: 1/05/03 Sharp, Beverly 96 Havana Blvd. Tenormin 100 mg #50 H. Huxtable, M.D.
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PRACTICE PROBLEMS CONVERSION
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APPENDIX B Working with Capsule Dosage Forms 3KDUPDFLVWVDQGWHFKQLFLDQVSOD\DQLPSRUWDQWUROHLQÀOOLQJKDUGJHODWLQFDSVXOHV 0DQ\WLPHVDFRPELQDWLRQRIGUXJVLVFRPSRXQGHGLQFDSVXOHV)RUWKHFRPSRXQG LQJ RI FDSVXOHV SRZGHUHG LQJUHGLHQWV DUH DFFXUDWHO\ ZHLJKHG PL[HG E\ WKH JHR PHWULFGLOXWLRQPHWKRGDQGÀOOHGLQDSSURSULDWHO\VL]HGFDSVXOHV6RPHWLPHVLIWKH SRZGHUHGLQJUHGLHQWVDUHQRWUHDGLO\DYDLODEOHWKH\FDQEHREWDLQHGE\FUXVKLQJWKH DYDLODEOHWDEOHWV/DFWRVHRURWKHUGLOXHQWVPD\EHQHHGHGWRPDNHXSWKHYROXPH RISRZGHUWRÀOOLQWKHFDSVXOHV +DUGJHODWLQFDSVXOHVDUHDYDLODEOHLQDUDQJHRIVL]HVVXFKDV DQGZKLFKUHSUHVHQWDJUDGXDOGHFUHDVHLQVL]HIURPWR7KHODUJHVWFDSVXOH VL]H UHSUHVHQWHG DV LV UDUHO\ XVHG 7KH KDUG JHODWLQ FDSVXOHV FRQVLVW RI D F\OLQGULFDOERG\DQGDFDS7KHFDSLVVOLJKWO\ODUJHUDQGEURDGHUEXWVKRUWHUDQG WKH ERG\ LV QDUURZHU DQG ORQJHU 7KH PHGLFDWLRQ LV ÀOOHG LQ WKH ERG\ IROORZLQJ ZKLFKWKHFDSLVÀWWHGRYHULW6HOHFWWKHFDSVXOHVRIVPDOOHVWVL]HWKDWZLOOKROGWKH TXDQWLW\RISRZGHUHGPDWHULDO7RÀJXUHWKHVL]HRIWKHFDSVXOHQHHGHGDFFXUDWHO\ ZHLJKHGSRZGHUHGPDWHULDOLVXVXDOO\ÀOOHGLQRQHRUWZRFDSVXOHVDVDWULDO,IWKH VL]HLVDSSURSULDWHWKHQWKHUHVWRIWKHPDWHULDOLVÀOOHGLQFDSVXOHVRIWKHVDPHVL]H :KHQ WKH EXON GHQVLW\ RI SRZGHUV LV JFF WKH VL]H RI WKH FDSVXOH FDQ EH DSSUR[LPDWHGE\WKHUXOHRIVL[HV$FFRUGLQJWRWKLVUXOHFDSVXOHVL]HV DQGFDQKROG²DQG½²JUDLQVRIWKHSRZGHUVUHVSHFWLYHO\(DFK JUDLQLVDSSUR[LPDWHO\HTXLYDOHQWWRPJ
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20 mg 40 mg
M. ft caps. DTD # 10 Sig: i cap bid, UD REFILL 1 x DAW
_____ HHuxtable DEA # AD 7973142
7DEOHWVDYDLODEOH+&7=PJDQG7ULDPWHUHQHPJ 3URFHGXUH 6WHS 7KHSUHVFULSWLRQLVEDVHGXSRQRQHFDSVXOHDQG'U+X[WDEOHZDQWV VXFKFDSVXOHVIRUKLVSDWLHQW0V%XUQV
Appendix B
209
6WHS PJv PJRIK\GURFKORUWKLD]LGHDQGPJv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enry Huxtable, M.D. 61-40 Flushing Avenue Amarillo, TX 79106 Phone No. 555-1234 Name : Frank Bruno Age: 32 Address: 142 Garden Street, TX-79121 Date: 3/16/03 Ephedrine Sulfate Phenobarbital Lactose qs
0.30 g 0.18 g
Ft. caps. M et Div. #12 Sig: i cap bid REFILL None DAW HHuxtable DEA # AD 7973142
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210
Essential Math and Calculations for Pharmacy Technicians
SKHQREDUELWDO LV PJ PJ RI SRZGHU FDSVXOHV 7KH WRWDO DPRXQWRISRZGHUHGGUXJVLQHDFKFDSVXOHLVPJ 6WHS %\WKHUXOHRIVL[HVFDSVXOHVL]HFDQKROGDWRWDOSRZGHUTXDQWLW\ RIDERXWJUDLQVRUPJ&RQVLGHULQJWKLVDPRXQWWKHWRWDODPRXQW RI SRZGHU IRU FDSVXOHV RI VL]H LV PJ 7KH DPRXQW RI ODFWRVHWKDWVKRXOGEHDGGHGIRUFDSVXOHVLVPJFDOFXODWHG DV PJ ² PJ PJ 7KHUHIRUH ZHLJK PJ RI ODFWRVH DQG DGG WR WKH GUXJ PL[WXUH E\ JHRPHWULF GLOXWLRQ $V D FRQÀUPDWLRQRIWKHVL]HÀOORQHRUWZRFDSVXOHVRIVL]HZLWK PJRIWKHPL[WXUHDQGGHWHUPLQHWKHDSSURSULDWHQHVV,IWKHFDSVXOH VL]HLVFRUUHFWSXQFKRXWWKHUHPDLQLQJFDSVXOHVDIWHUIRUPLQJDFDNH RQDSRZGHUSDSHURUDQRLQWPHQWWLOH 6WHS :LSHDOOWKHFDSVXOHVIURPRXWVLGHZLWKDFOHDQDQGGU\ WLVVXHDQG VXEPLWLQDQDSSURSULDWHFRQWDLQHUDIWHUDIÀ[LQJWKHIROORZLQJODEHO NORTHEAST PHARMACY 169 Hill Avenue Amarillo, TX-79101 555-0342
L # 123645 Date: 3/16/03 Bruno, Frank 142 Garden St Take one capsule twice daily Compounded Capsules #12 H. Huxtable, M.D.
PRACTICE PROBLEMS 7KHIROORZLQJWHQSUHVFULSWLRQVDUHIRUFDSVXOHVZKLFKDUHWREHSUHSDUHGHLWKHUIURP EXONFKHPLFDOVRUWDEOHWVWKHLQIRUPDWLRQDERXWZKLFKZLOOEHSURYLGHGIROORZLQJHDFK SUHVFULSWLRQ)RUDOOWKHSUHVFULSWLRQVFKHFNLIWKHVXEVFULSWLRQLVFRUUHFWDQGSURYLGH DOOWKHVWHSVWKDW\RXZLOOIROORZWRÀOOWKHSUHVFULSWLRQ0DNHVXUHWKDW\RXVKRZDOO WKHFDOFXODWLRQVLQYROYHGWKHFDSVXOHVL]HVHOHFWHGDQGWKHODEHOIRUÀQDOFRQWDLQHU .
Patrick King, M.D. 61-40 Flushing Avenue Amarillo, TX-79106 Phone No. 555-1234 Name : Piper Doe Age: 32 Address: 96 Main St., TX-79106 Date: 3/9/03 Aldomet Hydralazine Lactose qs
1.2 g 0.1 g 3.25 g
Ft. caps. # 10 Sig: i cap qid REFILL None DAW _______ PKing Lic # 333444 Available tablets: Methyldopa 500 mg weighing one gram each, and Hydralazine tablets 50 mg weighing 200 mg each.
Appendix B
211
2.
Patrick King, M.D. 13 Main St. Amarillo, TX 79101 Phone No. 555-1234 Name : Magic Jordan Age: 32 Address: 96 Sheldon St, TX-79106 Date: 3/9/03 Hydralazine HCl 10 mg HCTZ 20 mg Lactose qs Ft. caps. # xiv Sig: i 8 A.M., and 4 P.M. REFILL None DAW ________ PKing Lic # 333444 Available tablets: Hydralazine HCl 50 mg weighing 200 mg each, and HCTZ 20 mg tablets weighing 160 mg each.
3.
Patrick King, M.D. 13 Main Street Amarillo, TX 79106 Phone No. 555-1234 Name : Michael Johnson Age: 32 Address: 21 Progress Dr, TX 79106 Date: 3/9/03 CPM Pseudoephedrine HCl ASA Lactose qs ad
5 mg 40 mg 300 mg
Ft. caps. DTD # 12 Sig: i cap q6h REFILL None DAW ________ PKing Lic # 333444 Available: Bulk powders of all the ingredients.
212
Essential Math and Calculations for Pharmacy Technicians
4.
Patrick King, M.D. 13 Main Street Amarillo, TX 79106 Phone No. 555-1234 Name : Tim Johnson Age: 32 Address: 13 Victory Dr., TX 79106 Date: 3/9/03 Dimenhydrinate Pantothenic acid aa Thiamine HCl Calcium carbonate
30 mg 10 mg 100 mg
M. Ft. cap DTD #12 Sig: i cap qid for nausea REFILL None PKing Lic # 333444 Available: Bulk powder of dimenhydrinate and pantothenic acid, 25 mg tablets of thiamine HCl weighing 200 mg each, and 500 mg tablets of calcium carbonate weighing one gram each.
5.
Patrick King, M.D. 13 Main Street Amarillo, TX 79106 Phone No. 555-1234 Name : Gunn Hermann Address: 13 Coulter St, TX 79106 ASA Ephedrine sulfate CPM
Age: 34 Date: 3/9/03
175 mg 20 mg 2 mg
Ft. caps. D.T.D. # 12 Sig: i cap q6h, prn REFILL None PKing Lic # 333444 Available: 325 mg aspirin tablets weighing 0.7 g each, 60 mg ephedrine sulfate weighing 200 mg each, and 4 mg cpm weighing 150 mg each.
Appendix B
213
6.
Patrick King, M.D. 13 Main Street Amarillo, TX 79106 Phone No. 555-1234 Name : Vicky Johnson Address: 13 Bell St. TX 79106 Diphenhydramine HCl Prednisone Lactose qs ad Sig: i cap q8h
Age: 23 Date: 3/9/03
20 mg 2. 5 mg 300 mg
M.Ft Cap. DTD XV REFILL None DAW PKing Lic # 333444 Available: 50 mg Benadryl capsules weighing 200 mg, and 4 mg prednisone tablets weighing 180 mg each.
7.
Patrick King, M.D. 13 Main Street Amarillo, TX 79106 Phone No. 555-1234 Name : Latina Davis Age: 21 Address: 21 Bell St., TX 79106 Date: 3/9/03 Simethicone 0.02 g Phenobarb. 0.075 g Magnesium carbonate 0.05 g M. Ft caps D.T.D. # 12 Sig: ii caps tid & HS REFILL None DAW PKing Lic # 333444 Available: 20 mg simethicone tablets weighing 150 mg each, phenobarbital powder, and 500 mg magnesium carbonate tablets weighing one gram each.
214
Essential Math and Calculations for Pharmacy Technicians
8.
Patrick King, M.D. 13 Main Street Amarillo, TX 79106 Phone No. 555-1234 Name : Hill Grant Age: 24 Address: 2101 WestCliff, TX-79101 Date: 3/9/03 Warfarin sodium 1.5 mg Lactose qs ad 300 mg M.Ft. Cap D.T.D. # xii Sig: i qAM REFILL None DAW PKing Lic # 333444 Tablets available: 5 mg warfarin sodium tablets weighing 150 mg each.
9.
Patrick King, M.D. 13 Main Street Amarillo, TX 79106 Phone No. 555-1234 Name : Karl Mailman Age: 5 Yr Address: 13 Bell St., TX 79106 Date: 3/9/03 Weight = 44 lbs Sulfasalazine 40 mg/kg/24 hours Prednisone 1 mg/cap Lactose qs Ft. caps. DTD # 15 Sig: Contents of i capsule in applesauce q6h DAW PKing Lic # 333444 Bulk powders for all the ingredients are available.
Appendix B
215
10.
Patrick King, M.D. 13 Main Street Amarillo, TX 79106 Phone No. 555-1234 Name : Dennis Menace Age: 32 Address: 2101 Hill Dr., TX 79106 Date: 3/9/03 CPM 2 mg APAP 350 mg Pseudoephed sulfate 30 mg Lactose qs Ft. caps. DTD # xv Sig: ii caps, prn for sinus headache REFILL None DAW PKing Lic # 333444 Bulk powders are available for all the ingredients.
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Appendix C
219
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